摘要
目的探讨宫腔镜和经阴道B超对子宫内膜息肉的诊断价值。方法选取该院2015年8月到2016年8月收治的80例已确诊为子宫内膜息肉的患者作为研究对象。先对患者进行经阴道B超,然后再行宫腔镜检查,观察两种方法的检查结果。结果经宫腔镜检测,患者确诊为子宫内膜息肉75例,误诊为其他病症4例,经阴道B超检测,患者确诊为子宫内膜息肉52例,误诊为其他病症6例。宫腔镜的检出率与经阴道B超相比,差异有统计学意义(P<0.05);患者子宫内膜息肉最少为1处,最多为4处,其中21例为1处有子宫内膜息肉,36例有2处子宫内膜息肉,14例有3处子宫内膜息肉,9例有4处子宫内膜息肉。宫腔镜中准确检出1处的为21例(100.00%)、2处的为34例(94.44%)、3处的为12例(85.71%)、4处的为8例(88.89%);经阴道B超中准确检出1处的为13例(61.90%)、2处的为17例(47.22%)、3处的为11例(78.57%)、4处的为5例(55.56%),二者的分布差异有统计学意义(P<0.05),且宫腔镜具有较高的准确率。结论宫腔镜对子宫内膜息肉的诊断效果明显优于经阴道B超。
Objective To explore the diagnostic value of hysteroscopy and transvaginal B-type ultrasound in endometrial polyps.Methods Eighty cases of endometrial polyps in our hospital from August 2015 to August 2016 were selected as the research subjects.Firstly,the patients were performed the transvaginal B-type ultrasound examination and then the hysteroscopic examination was conducted.The examination results of the two methods were observed.Results After hysteroscopic examination,75 cases were diagnosed as endometrial polyps,5cases were misdiagnosed as other diseases.In the transvaginal B-type ultrasound examination,52 cases were diagnosed as endometrial polyps and 6cases were misdiagnosed as other diseases.The detection rate had statistically significant difference between hysteroscopy and B-type ultrasound examination（P0.05）;the minimum was at least 1endometrial polyp and the maximum were 4 endometrial polyps,including 21 cases of 1endometrial polyp,36 cases of 2endometrial polyps,14 cases of 3 endometrial polyps and 9cases of 4 endometrial polyps.The hysteroscopic examination accurately detected 21case（100.00%）of 1endometrial polyp,34 cases（94.44%）of 2 endometrial polyps,12cases（85.71%）of 3endometrial polyps and 8cases（88.89%）of 4 endometrial polyps;the transvaginal B-type ultrasound accurately detected 13cases（61.90%）of 1endometrial polyp,17cases（47.22%）of 3 endometrial polyps,11cases（78.57%）of 3endometrial polyp and 5cases（55.56%）of 4endometrial polyps,there were statistically significant differences in the distribution between the two examination methods（P0.05）,moreover hysteroscopy had higher accuracy.Conclusion The diagnosis efficiency of hysteroscopy in diagnosing endometrial polyps is significantly better than that of B-type ultrasound.
出处
《重庆医学》
CAS
北大核心
2017年第24期3348-3350,共3页
Chongqing medicine
